NPI | 1538472402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 052268) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 245006) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 327219) | |
Enumeration Date | 2010-07-21 |
Last Update Date | 2024-02-06 |